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1114071222
LUCY G. RUSSELL
CHEYENNE, WY
NPI
1114071222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
-- LUCY G. RUSSELL
1748 HACKAMORE RD
CHEYENNE, WY 82009-1226
Phone number: 307-632-0284
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Mailing Address
-- LUCY G. RUSSELL
1748 HACKAMORE RD
CHEYENNE, WY 82009-1226
Phone number: 307-632-0284
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